Phoenix SMAS Facelift doctors

A SMAS Facelift should actually accentuate the cheekbones and create the hollow directly below the zygoma that you desire.  It is likely that the SMAS was not used to fully elevate the facial fat to increase the horizontal dimension of your face that makes people look more youthful.  As swelling subsides in mostly skin lift type facelifts, the fullness laterally diminishes creating loss of the definition you desire.  Ask your surgeon about possibly injecting some fat along the cheekbones to provide more volume which will create more definition and tightness, or if he injects soft tissue fillers, Sculptra or Radiesse are great options.  

Facelift techniques are confusing but the results should speak for themselves.  Your photograph demonstrates a full face, persistent jowls plus or minus prominent salivary glands, and an ill-defined jawline and neck.  Most of these problems can be dealt with with some form of SMAS manipulation along with minute amounts of liposuction.  Your skin tone appears to be excellent, and should help you in the end.  It appears that more aggressive techniques need to be employed; I would suggest a small amount of liposuction of the jowl area and neck/submental area along with a technique to remove some of the bulkiness of your face.  A Lateral SMASectomy whereby a strip of tissue containing the SMAS layer and fat is removed and the edges are approximated, increasing the contour of the area while simultaneously lifting facial fat to a more youthful position.  I would get a few more opinions from experienced Board Certified Plastic Surgeons.  Good Luck.

Facelift incisions are designed for access to those parts of the face that will be addressed by the facelift operation.  In order for incisions to heal beautifully, no tension should be applied to the skin during skin removal and closure.  Many different locations of incisions for facelifts exist, and the most common are those that you cite in your question.  Whether a skin lift, SMAS plication, or SMAS elevation technique, incisions and locations are generally decided upon preoperatively by the amount of skin that will need to be removed as a result of the facelift.  I prefer incisions placed at the anterior sideburn (horizontally placed) in order to not elevate the sideburn hair which is a tell-tale sign of facial surgery.  Those along the ear run along the inside of the tragus, at the base of the earlobe, and behind the ear, following the posterior hairline so as not to shift hair placement.  In those patients that need no neck surgery, incisions can be limited to the sideburn down to the earlobe, and if only the neck needs to be addressed, incisions along the ears anteriorly can be avoided (Necklift).  As stated, in all cases, tension should be avoided upon closure, and this is accomplished by using the SMAS layer for any strength needed to maintain the facelift shape.